DAVID KHAKSHOOR


Address: 1703 Borbeck Ave Fl 1, Philadelphia, PA 19111-3514
Phone: 4107253363

DAVID KHAKSHOOR (NPI# 1811476658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811476658
Entity Type Individual
Full Name DAVID KHAKSHOOR
Practice Address 1703 Borbeck Ave Fl 1
Philadelphia
PA 19111-3514
Practice Telephone 4107253363
Mailing Telephone 4107253363
Enumeration Date 2018-08-13
Last Update Date 2018-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist SC006967 PA Podiatric Medicine & Surgery Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1703 Borbeck Avenue 1st Floor, Philadephia, PA 191111911 4107253363

Office Location

Street Address 1703 BORBECK AVE FL 1
City PHILADELPHIA
State PA
Zip Code 19111-3514

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164036026 Grace Agency Incorporated Home Health 433 Longshore Ave, Philadelphia, PA 19111 2020-09-08
1124517750 Dana Christine Campetti Physician Assistant 700 Cottman Ave Ste 201, Philadelphia, PA 19111 2018-05-09
1235654286 Dorotea Mutabdzic Surgery Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 2017-08-11
1952841041 Personal Care Home C&g Point of Service 6176 Newtown Ave, Philadelphia, PA 19111 2017-03-08
1477006849 Fox Chase Cancer Center Clinic/Center 333 Cottman Ave., Philadelphia, PA 19111 2016-08-02
1578927521 Peter Whooley Student in an Organized Health Care Education/Training Program Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 2016-04-06
1043673783 Matthew Holzerman Physical Therapy Assistant 1148 Tabor Plz, Philadelphia, PA 19111 2016-03-31
1831563329 Aging With Care Inc Home Health 1614 Loney St, Philadelphia, PA 19111 2015-11-20
1043687551 Kenneth Marsaglia II Preventive Medicine 8414 Bridle Road, Philadelphia, PA 19111 2015-09-01
1700220514 Lorraine A Tauriello Counselor 716 Ripley St, Philadelphia, PA 19111 2013-04-23
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912543109 Kimberly Nguyen Dpm PC Podiatrist 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 2019-11-21
1851877179 Andrew Mermelstein Podiatrist 5800 Roxborough Avenue, Philadelphia, PA 19128 2018-07-19
1053835264 Marvin Marcelin Podiatrist 5735 Ridge Ave Ste 208, Philadelphia, PA 19128-1747 2017-07-29
1598287054 Taylor Wasserleben Podiatrist 235 N Broad St Ste 300, Philadelphia, PA 19107-1511 2017-07-16
1952718975 Travon Owens Podiatrist 4522 Westminster Ave, Philadelphia, PA 19131-5213 2014-07-22
1558675801 Duane Romana Podiatrist 1865 Welsh Rd, Apt J-9, Philadelphia, PA 19115-4764 2010-07-28
1144532748 Kimberly Hoang Nguyen Podiatrist 1311 South St, Philadelphia, PA 19147-1867 2010-07-12
1396973152 Kwasi Y Kwaadu Podiatrist 148 N 8th Street, Philadelphia, PA 19107-2496 2009-06-30
1043453996 Foot Health Centers, Pa Podiatrist 6911 Castor Ave, Philadelphia, PA 19149-1702 2009-04-08
1902044035 Foot and Ankle Center of Philadelphia Podiatrist 235 N Broad Street, Suite 300, Philadelphia, PA 19107 2009-01-28
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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